{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:36:44Z","timestamp":1777466204913,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2024,11,8]]},"abstract":"<jats:p>BACKGROUND: Scoliosis secondary to cerebral palsy is one of the common complications of cerebral palsy in children with cerebral palsy. OBJECTIVE: This study aimed to explore the efficacy of rehabilitation combined with brace correction in patients with scoliosis secondary to cerebral palsy. METHODS: A total of 52 patients with scoliosis secondary to cerebral palsy were selected from our hospital from April 2019 to April 2022 and divided into the control group and experimental group according to the statistical randomization method (n= 26 in each group). Control group: mean age (14.28 \u00b1 2.31) years; 16 males and 10 females. Experimental group: average age (14.24 \u00b1 2.35) years; 15 males and 11 females. The control group wore scoliosis orthopedic brace, while the experimental group was treated with rehabilitation manipulation and rehabilitation training (including gymnastic training and weight training) on the basis of the control group for 1 year. The clinical efficacy of the two groups was compared and observed; the number of degrees of scoliosis (Cobb angle), the angle of vertebral rotation (AVR) and the distance of the parietal vertebrae from the sacral midline (AVT) were compared before and after treatment; the incidence of adverse events during treatment was observed in the two groups. RESULTS: After treatment, both groups showed significant improvement in the overall effectiveness of treatment, Cobb\u2019s angle, AVR and AVT compared with those before treatment (P&lt; 0.05). The experimental group had a significantly higher overall effective rate of treatment than the control group (P&lt; 0.05), a significantly smaller Cobb\u2019s angle and AVR than the control group (P&lt; 0.05) and a significantly shorter AVT than the control group (P&lt; 0.05). The incidence of adverse events during treatment was lower in both groups and was not significantly different (P&gt; 0.05). CONCLUSION: The combination of rehabilitation physiotherapy and bracing is effective in optimizing the clinical outcome of patients with scoliosis secondary to cerebral palsy, improving their scoliosis dysfunction and providing a high level of safety in treatment.<\/jats:p>","DOI":"10.3233\/bmr-230336","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T11:09:36Z","timestamp":1726225776000},"page":"1499-1506","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of rehabilitation physiotherapy combined with brace correction in patients with mild to moderate scoliosis secondary to cerebral palsy"],"prefix":"10.1177","volume":"37","author":[{"given":"Zhen","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Surgery, Minhang Hospital, Fudan University, Shanghai, China"},{"name":"Department of Surgery, Minhang Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Minhang Hospital, Fudan University, Shanghai, China"},{"name":"Department of Surgery, Minhang Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongyan","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Minhang Hospital, Fudan University, Shanghai, China"},{"name":"Department of Surgery, Minhang Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongping","family":"He","sequence":"additional","affiliation":[{"name":"Health Checkup Center of Ordos, Ordos, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miaomiao","family":"Wang","sequence":"additional","affiliation":[{"name":"Health Checkup Center of Ordos, Ordos, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Gao","sequence":"additional","affiliation":[{"name":"Children\u2019s Rehabilitation Center, Ordos Traditional Chinese Medicine Rehabilitation Hospital, Ordos, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lian","family":"Xiang","sequence":"additional","affiliation":[{"name":"Faculty of Business Information, Shanghai Business School, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoliu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Minhang Hospital, Fudan University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"8","key":"10.3233\/BMR-230336_ref1","first-page":"1795","article-title":"G200(P)A case highlighting the impact of uncorrected scoliosis[J]","volume":"1860","author":"Sanapala","year":"2015","journal-title":"Archives of Disease in Childhood."},{"issue":"1","key":"10.3233\/BMR-230336_ref2","first-page":"68","article-title":"G322(P) Sudden deterioration of scoliosis \u2013 an atypical secondary sexual characteristic in children with severe disability[J]","volume":"39","author":"Sutherland","year":"2014","journal-title":"Archives of Disease in Childhood."},{"issue":"2","key":"10.3233\/BMR-230336_ref3","first-page":"94","article-title":"Results and complications after spinal fusion for neuromuscular scoliosis in cerebral palsy and static encephalopathy using luque galveston instrumentation: Experience in 93 patients[J]","volume":"34","author":"Lonstein","year":"2013","journal-title":"Spine."},{"issue":"10018","key":"10.3233\/BMR-230336_ref4","first-page":"545","article-title":"Successful surgical treatment of scoliosis secondary to Guillain-Barr\u00e9 syndrome: Case report[J]","volume":"387","author":"Li","year":"2016","journal-title":"Medicine."},{"issue":"5","key":"10.3233\/BMR-230336_ref5","first-page":"506","article-title":"Distal Adding-on Phenomenon in Scoliosis Secondary to Chiari Malformation Type I: Incidence and Risk Factors[J]","volume":"33","author":"Yin","year":"2020","journal-title":"Spine."},{"issue":"7","key":"10.3233\/BMR-230336_ref6","first-page":"156","article-title":"Morphological Differences in the Vertebrae of Scoliosis Secondary to Neurofibromatosis Type 1 With and Without Paraspinal Neurofibromas[J]","volume":"47","author":"Hu","year":"2016","journal-title":"Spine."},{"issue":"2","key":"10.3233\/BMR-230336_ref7","first-page":"94","article-title":"Study on the Effect of Group Reciprocity Model in the Rehabilitation of Patients with Scoliosis [J]","volume":"56","author":"Hu","year":"2021","journal-title":"Open Journal of Social Sciences."},{"issue":"6","key":"10.3233\/BMR-230336_ref8","first-page":"334","article-title":"Back 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chronic injury[J]","volume":"514","author":"Argetsinger","year":"2020","journal-title":"Nature Publishing Group."},{"issue":"5","key":"10.3233\/BMR-230336_ref12","first-page":"6547","article-title":"Chiropractic rehabilitation plus nighttime bracing for progressive adolescent idiopathic scoliosis: a case-controlled series[J]","volume":"16","author":"Morningstar","year":"2020","journal-title":"Clin Pract."},{"issue":"2","key":"10.3233\/BMR-230336_ref13","first-page":"94","article-title":"Dual-task training effect on gait parameters in children with spastic diplegic cerebral palsy: Preliminary results of a self-controlled study[J]","volume":"56","author":"Okur","year":"2022","journal-title":"Gait & Posture."},{"issue":"6","key":"10.3233\/BMR-230336_ref14","first-page":"334","article-title":"Does Spinal Fusion and Scoliosis Correction Improve Activity and Participation for Children With GMFCS level 4 and 5 Cerebral Palsy[J]","volume":"7","author":"Sewell","year":"2015","journal-title":"Medicine."},{"issue":"5","key":"10.3233\/BMR-230336_ref15","first-page":"6340","article-title":"Methods of Prevention and Physical Rehabilitation of Children With Scoliosis[J]","volume":"16","author":"Kalmuratova","year":"2020","journal-title":"Bulletin of Science and Practice."},{"issue":"2","key":"10.3233\/BMR-230336_ref16","first-page":"156","article-title":"Physical rehabilitation of older school children with scoliosis with some neurological diseases[C]\/\/Picture Coding Symposium","volume":"23","author":"Barladyn","year":"2020","journal-title":"National Pedagogical Dragomanov University."},{"issue":"2","key":"10.3233\/BMR-230336_ref17","first-page":"518","article-title":"Three Methods of Pelvic Fixation for Scoliosis in Children With Cerebral Palsy[J]","volume":"514","author":"Abousamra","year":"2019","journal-title":"Spine."},{"issue":"6","key":"10.3233\/BMR-230336_ref18","first-page":"722","article-title":"Displacement of Centre of Pressure during Rehabilitation Exercise in Adolescent Idiopathic Scoliosis Patients[J]","volume":"27","author":"Marin","year":"2021","journal-title":"Journal of Clinical Medicine."},{"issue":"2","key":"10.3233\/BMR-230336_ref19","first-page":"2300","article-title":"Bone and joint complications and reduced mobility are associated with pain in children with cerebral palsy[J]","volume":"14","author":"Schmidt","year":"2020","journal-title":"Acta Paediatrica."},{"issue":"6","key":"10.3233\/BMR-230336_ref20","first-page":"1376","article-title":"Significance of Schroth method in the rehabilitation of children with structural idiopathic scoliosis[J]","volume":"15","author":"Vrei","year":"2020","journal-title":"Medicinski Podmladak."},{"issue":"966","key":"10.3233\/BMR-230336_ref21","first-page":"444","article-title":"Horizontal Gaze Palsy and Rapidly Progressive Scoliosis: Typical Findings in ROBO3 Mutations[J]","volume":"81","author":"Koch","year":"2014","journal-title":"Neuropediatrics."},{"issue":"5","key":"10.3233\/BMR-230336_ref22","first-page":"6547","article-title":"Pain and sleep issues in Rett syndrome and other neurodevelopmental disorders[J]","volume":"16","author":"Gerarda","year":"2018","journal-title":"Acta Paediatrica."},{"issue":"5","key":"10.3233\/BMR-230336_ref23","first-page":"6340","article-title":"P-3 The influence of scoliosis towards secondary osteoarthritis of the knee joint in athletes[J]","volume":"16","author":"Supartono","year":"2016","journal-title":"British Journal of Sports Medicine."},{"issue":"2","key":"10.3233\/BMR-230336_ref24","first-page":"156","article-title":"Relationship between stature and tibial length for children with moderate-to-severe cerebral palsy[J]","volume":"23","author":"Kihara","year":"2015","journal-title":"Brain and Development."},{"issue":"6","key":"10.3233\/BMR-230336_ref25","first-page":"722","article-title":"Morphological Differences in the Vertebrae of Scoliosis Secondary to Neurofibromatosis Type 1 With and Without Paraspinal Neurofibromas[J]","volume":"27","author":"Hu","year":"2016","journal-title":"Spine."},{"issue":"6","key":"10.3233\/BMR-230336_ref26","first-page":"1376","article-title":"Three-Dimensional-Printed Individualized Guiding Templates for Surgical Correction of Severe Kyphoscoliosis Secondary to Ankylosing Spondylitis: Outcomes of 9 Cases[J]","volume":"15","author":"Tu","year":"2019","journal-title":"World Neurosurgery."},{"issue":"2","key":"10.3233\/BMR-230336_ref27","first-page":"553","article-title":"Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review[J]","volume":"128","author":"Zhang","year":"2016","journal-title":"Medicine."},{"issue":"7","key":"10.3233\/BMR-230336_ref28","first-page":"59","article-title":"The Effect of Botulinum Toxin A Injections in the Spine Muscles for Cerebral Palsy Scoliosis, Examined in a Prospective, Randomized Triple-blinded Study[J]","volume":"43","author":"Wong","year":"2015","journal-title":"Spine."},{"issue":"3","key":"10.3233\/BMR-230336_ref29","first-page":"1","article-title":"Although Inconvenient, Baclofen Pumps Do Not Complicate Scoliosis Surgery in Patients With Cerebral Palsy[J]","volume":"48","author":"BurtScannell","year":"2015","journal-title":"Spine."},{"issue":"12","key":"10.3233\/BMR-230336_ref30","first-page":"1576","article-title":"Severe neuromuscular scoliosis implicated by dysfunction of intrathecal Baclofen pump. Case report and literature review[J]","volume":"109","author":"Panagopoulos","year":"2019","journal-title":"World Neurosurgery."},{"issue":"8","key":"10.3233\/BMR-230336_ref31","first-page":"1795","article-title":"Intrathecal Baclofen Pump Implantation for Type 2 Gaucher Disease[J]","volume":"1860","author":"Hori","year":"2017","journal-title":"Pediatric Neurosurgery."},{"issue":"1","key":"10.3233\/BMR-230336_ref32","first-page":"68","article-title":"Mortality and Morbidity in Early Onset Scoliosis Surgery[J]","volume":"39","author":"Phillips","year":"2013","journal-title":"Spine."},{"issue":"2","key":"10.3233\/BMR-230336_ref33","first-page":"94","article-title":"Risk Factors for Proximal Junctional Kyphosis Following Surgical Deformity Correction in Pediatric Neuromuscular Scoliosis[J]","volume":"34","author":"Toll","year":"2020","journal-title":"Spine."},{"issue":"10018","key":"10.3233\/BMR-230336_ref34","first-page":"545","article-title":"Predictive Model for Gastrostomy Placement in Adolescents With Developmental Disabilities and Cerebral Palsy[J]","volume":"387","author":"Bertoncelli","year":"2020","journal-title":"Trends in Ecology & Evolution."},{"issue":"5","key":"10.3233\/BMR-230336_ref35","first-page":"506","article-title":"Measures of Health-Related Quality of Life Outcomes in Pediatric Neurosurgery: Literature Review[J]","volume":"33","author":"Desai","year":"2018","journal-title":"World Neurosurgery."},{"issue":"7","key":"10.3233\/BMR-230336_ref36","first-page":"156","article-title":"G510(P)To Trache, or Not to Trache? That is the Question[J]","volume":"47","author":"Sheward","year":"2016","journal-title":"Archives of Disease in Childhood."},{"issue":"2","key":"10.3233\/BMR-230336_ref37","first-page":"94","article-title":"A most unusual tail: Scoliosis in a wild Australian skink, and reported incidences and suggested causes of similar malformations amongst squamates[J]","volume":"56","author":"Bateman","year":"2022","journal-title":"Austral Ecology."},{"issue":"6","key":"10.3233\/BMR-230336_ref38","first-page":"334","article-title":"Letter to the Editor Regarding \u201cThe Usage of Chewing Gum in Posterior Spinal Fusion Surgery for Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial\u201d [J]","volume":"7","author":"Chan","year":"2021","journal-title":"Spine."},{"issue":"966","key":"10.3233\/BMR-230336_ref39","first-page":"444","article-title":"Authors: Noninvasive Ventilatory Assistance During Exercise for Patients with Kyphoscoliosis A Pilot Study BRIEF REPORT Pulmonary[J]","volume":"81","author":"Vila","year":"2021","journal-title":"American Journal of Physical Medicine & Rehabilitation."},{"issue":"2","key":"10.3233\/BMR-230336_ref40","first-page":"2300","article-title":"Coronal Correction Using Kickstand Rods for Adult Thoracolumbar\/Lumbar Scoliosis: Case Series With Analysis of Early Outcomes and Complications[J]","volume":"14","author":"Buell","year":"2021","journal-title":"Neurosurgery."},{"issue":"2","key":"10.3233\/BMR-230336_ref41","first-page":"436","article-title":"Interplay of Pisa syndrome and scoliosis in individuals with Parkinson\u2019s disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study[J]","volume":"19","author":"P\u00e9rennou","year":"2020","journal-title":"Annals of Physical and Rehabilitation Medicine."},{"issue":"3","key":"10.3233\/BMR-230336_ref42","doi-asserted-by":"crossref","first-page":"3362","DOI":"10.26452\/ijrps.v11i3.2471","article-title":"SEAS Exercise to Treat Scoliosis and Improve Functional Activities in Children with Spastic Cerebral Palsy[J]","volume":"11","author":"Sathish","year":"2020","journal-title":"International Journal of Research in Pharmaceutical Sciences."},{"issue":"2","key":"10.3233\/BMR-230336_ref43","first-page":"135","article-title":"The Addition of Daytime Physiotherapeutic Scoliosis-specific Exercises to Adolescent Idiopathic Scoliosis Nighttime Bracing Reduces Curve Progression[J]","volume":"15","author":"Zapata","year":"2023","journal-title":"Journal of Pediatric Orthopaedics."},{"issue":"12","key":"10.3233\/BMR-230336_ref44","first-page":"786","article-title":"A case of malignant scoliosis and its relationship with pulmonary lung function and long-term health-related quality of life[J]","volume":"65","author":"Ng","year":"2020","journal-title":"Journal of Orthopedics Traumatology and Rehabilitation."},{"issue":"4","key":"10.3233\/BMR-230336_ref45","first-page":"690","article-title":"Post Surgical Neglected Idiopathic Triple Curve Scoliosis with Neuromuscular and Respiratory Disorders[J]","volume":"65","author":"Handoyo","year":"2020","journal-title":"Indonesian Journal of Physical Medicine and Rehabilitation."}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/BMR-230336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:27:58Z","timestamp":1777382878000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospress&doi=10.3233\/BMR-230336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,8]]},"references-count":45,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3233\/bmr-230336","relation":{},"ISSN":["1878-6324","1053-8127"],"issn-type":[{"value":"1878-6324","type":"electronic"},{"value":"1053-8127","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,8]]}}}